Measured*
Indicated**
Inferred
TOTAL
*Indicate in Remarks column if resource is New, or Upgraded from Indicated or Inferred Resource
**Indicate in Remarks column if resource is New, or Upgraded from Inferred Resource

who acknowledged to me that they executed the foregoing Report voluntarily and
that the same is of their own free act and deed.
WITNESS MY HAND AND SEAL, on the date and place written above.
NOTARY PUBLIC
Until
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PTR No.
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Issued on
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Doc. No.
Page No.
Book No.
Series of

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page 5 of 6 pages

Revised MGB Form No. 29-19

INSTRUCTIONS
The Annual Mineral Resource/Ore Reserve Inventory Report shall be
accomplished in compliance with Department of Environment and Natural
Resources Administrative Order No. 2010-09 in re: Providing for the Classification
and Reporting Standards of Exploration Results, Mineral Resources and Ore
Reserves.
Every holder of a mining permit, Mineral Agreement, Financial or
Technical Assistance Agreement or Small-Scale Mining Contract or its operator
shall submit to the Director, copy furnished the Regional Director concerned, an
Annual Mineral Resource/Ore Reserve Inventory Report using the prescribed
MGB Form No. 29-19, on or before the end of the first quarter of each calendar
year.
A holder of Quarry or Sand and Gravel Permit or its operator shall likewise
submit the same report (MGB Form No. 29-19) to the Provincial Governor/City
Mayor concerned, copy furnished the Director and the Regional Director
concerned, on or before the end of the first quarter of each calendar year.